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Documentation for rehabilitation : a guide to clinical decision making / Lori Quinn, James Gordon.

By: Contributor(s): Material type: TextTextPublication details: Maryland Heights, Mo. : Saunders/Elsevier, c2010.Edition: 2nd edDescription: xiv, 263 p. : ill. ; 28 cmISBN:
  • 9781416062219 (pbk. : alk. paper)
  • 1416062211 (pbk. : alk. paper)
Subject(s): DDC classification:
  • 615.8/2 22
LOC classification:
  • RM700 .Q85 2010
NLM classification:
  • WB 460
Contents:
Disablement models, ICF framework, and clinical decision making -- Essentials of documentation -- Legal aspects of documentation -- Clinical decision making and the initial evaluation format -- Documenting reason for referral : background information and health condition -- Documenting reason for referral : participation and social history -- Documenting activities -- Documenting impairments in body structure and function -- Documenting the assessment : summary and diagnosis -- Documenting goals -- Documenting the plan of care -- Treatment notes and progress notes using a modified SOAP format -- Specialized documentation -- Documentation in pediatrics / Lori Quinn and Agnes McConlogue -- Payment policy and coding / Helene M. Fearon, Stephen M. Levine, and Lori Quinn -- Computerized documentation / Janet Herbold.
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Rev. ed. of: Functional outcomes documentation for rehabilitation. c2003.

Includes bibliographical references (p. 205-208) and index.

Disablement models, ICF framework, and clinical decision making -- Essentials of documentation -- Legal aspects of documentation -- Clinical decision making and the initial evaluation format -- Documenting reason for referral : background information and health condition -- Documenting reason for referral : participation and social history -- Documenting activities -- Documenting impairments in body structure and function -- Documenting the assessment : summary and diagnosis -- Documenting goals -- Documenting the plan of care -- Treatment notes and progress notes using a modified SOAP format -- Specialized documentation -- Documentation in pediatrics / Lori Quinn and Agnes McConlogue -- Payment policy and coding / Helene M. Fearon, Stephen M. Levine, and Lori Quinn -- Computerized documentation / Janet Herbold.

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